Avaliação da qualidade de vida de pessoas idosas com HIV assistidos em serviços de referência / Quality of life evaluation of elderly people with HIV assisted in referral services

Resumo O objetivo deste estudo foi avaliar a qualidade de vida de pessoas idosas que vivem com HIV em Recife-PE. Estudo descritivo, quantitativo de corte transversal com amostra de conveniência e aleatória composta por 241 sujeitos. Aplicou-se o instrumento HIV/AIDS Target Quality of life (HAT-Qol). A qualidade de vida esteve comprometida nos domínios preocupações com o sigilo (51, 89), função sexual (63) e preocupações financeiras (64, 74). As melhores pontuações foram em preocupações com a medicação (87, 91), preocupações com a saúde (86, 80) e aceitação do HIV (82, 78). Os homens apresentaram pontuações para uma melhor qualidade de vida em todos os domínios. Conclui-se que dentre os fatores associados à melhor qualidade de vida nos homens está a escolaridade, a situação financeira, sua autopercepção e o estigma relacionado ao HIV, que parece ser mais forte em relação às mulheres.

Abstract This study aimed to evaluate the quality of life of elderly living with HIV in Recife (PE), Brazil. This is a descriptive, quantitative cross-sectional study with convenience and random sample of 241 subjects. The HIV/AIDS Target Quality of Life (HAT-QoL) instrument was applied. The quality of life was compromised in the areas of confidentiality (51.89), sexual function (63) and financial concerns (64.74). The best scores were medication concerns (87.91), health concerns (86.80), and HIV acceptance (82.78). Men scored for a better quality of life in all realms. We can conclude that among the factors associated with better quality of life in men are schooling, financial situation, self-perception and HIV-related stigma, which seems to be stronger compared with women.

The clinico-pathologic characteristics of the very elderly Chinese patients with kidney disease / 中华老年医学杂志

Objective To evaluate the clinico-pathologic presentations and prognosis in the very elderly patients undergoing renal biopsy.Methods The patients who underwent renal biopsy in Nephrology Center of the First Affiliated Hospital of Zhengzhou University were screened from May 2012 to March 2016.All patients were divided into observation group (aged ≥80 years) and control group (aged 65-70 years).The clinico-pathological classifications and prognosis were compared between the two groups.Results Primary glomerulopathy was the most frequent pathologic diagnosis in observation and control groups[20(60.6％) and 64(64.0％),respectively,P=0.726].Among primary glomerulopathy,membranous nephropathy was the most frequent histopathological type[10(50.0％) and 40 (62.5％)] in observation and control groups,respectively,(P =0.320).Among secondary glomerulopathy,the number of patients in observation group were 10 cases (30.3％) and were 13 cases (13.0％) in control group (t=5.194,P＜0.05),with no significant differences between the two groups in amyloid degeneration,ANCA-associated vasculitis,HBV-associated Glomerulonephritis,and nephritis of Schonlein-Henoch purpura.In the very elderly patients with nephrotic syndrome,glomerular minimal change was the most common histological type [7 (30.4％)],followed by membranous nephropathy[6 (26.1％)].Furthermore,there were no side effects of perinephric hematoma,gross hematuria,arteriovenous fistula or other complications.Conclusions The pathological types distribution of patients aged ≥ 80 versus 65-70 years is different.And the renal biopsy is relatively safe and has an important role for the very elderly patients.

Convívio e cuidado familiar na quarta idade: qualidade de vida de idosos e seus cuidadores / Living together and family care at the fourth age: quality of life for seniors and their caregivers

É importante almejar qualidade de vida ou bem-viver aos idosos que já atingiram 80 ou mais anos de idade, com autonomia e independência. Com o avançar da idade, entretanto, torna-se mais frequente a dependência dos cuidados da família por parte dos idosos. OBJETIVO: Avaliar a dinâmica da família, a qualidade e o estilo de vida de idosos da quarta idade e de seus familiares cuidadores. Método: Estudo descritivo do qual participaram 100 idosos e seus cuidadores. Os dados foram coletados por meio do Questionário do Perfil da Família Cuidadora, o Family APGAR, Whoqol-Old, Whoqol-Breve e o Estilo de vida de Nahas. RESULTADO: A amostra de idosos caracterizou-se por ser a maioria mulher, com idade média de 84 anos, portadora de hipertensão arterial e cardiopatias. Os cuidadores (67%) viviam na casa dos próprios idosos, eram predominantemente mulheres, entre filhas e netas, sendo 20% idosos cônjuges de ambos os sexos. Embora os cuidadores tenham referido boa saúde e qualidade de vida, seu estilo de vida atingiu nível regular. Na ótica dos idosos, a família apresenta alta disfuncionalidade, embora tenham uma melhor qualidade de vida em alguns domínios e facetas. CONCLUSÃO: Com base na pesquisa, foi possível identificar a necessidade de redirecionar as políticas públicas e sociais a favor da rede de apoio à população idosa mais envelhecida, extensiva às famílias cuidadoras.

It is important to get the quality of life or well being to the elderly who reached the fourth age - 80 years or more - with autonomy and independence. However, as people grow old, reliance on family care for the elderly becomes more frequent. OBJETIVE: This study aimed to assess family dynamics, quality of life and lifestyle of elderly at the fourth age and of their family caregivers. Method: Descriptive study involving 100 elderly and their caregivers. Data were collected by applying the Family Caregiver Profile Questionnaire, Family APGAR, Whoqol-Old, Whoqol-Bref and Nahas Lifestyle. RESULTS: The elderly sample comprised mostly women, with mean age of 84 years, mostly of all with hypertension and heart diseases. Caregivers (67%) lived in the elderly's household, were mostly women, daughters and granddaughters; 20% were elderly caregivers partners from both sexes. Although caregivers have reported good health and quality of life at a good level, their lifestyle was regular. According to the elderly, families have high dysfunctionality, although they had better levels of quality life in some areas and facets. CONCLUSION: Based on the research it was possible to identify the needs of redirecting to the public and social policies, in favor of a supporting network to the aged population and their family.